Organization
KUTANOVSKI DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVON M KUTANOVSKI DMD (OWNER DENTIST)
(925) 596-0220
Entity
Organization
Contact information
Practice address
229 S EAST ST, CROWN POINT, IN 46307-4058
(219) 356-0216
(219) 356-0217
Mailing address
229 S EAST ST, CROWN POINT, IN 46307-4058
(219) 356-0216
(219) 356-0217
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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